Marcie Johnson
Sanborn,NY
Summary
- Capacity for working efficiently in a fast paced setting while handling multiple priorities.
- Successful in negotiating problem solving solutions for complex issues.
- Excellent organizational skills.
- Detail orientated, driven and quality focused.
- Proficient in Meditech, Healthenet, Omnipro, Epaces and Experian; along with many other websites used for billing.
- Specialize in Dental, Oncology, Dialysis, HMO, No Fault and Workman's Compensation billing.
Overview
21
21
years of professional experience
Work History
Patient Financial Services Representative
Erie County Medical Center
Buffalo, NY
09.2022 - Current
- Specialize in Dental, Oncology and Dialysis billing.
- Prepare medical claims to be submitted electronically or manually using UB04 and ADA forms.
- Communicate with payers to check status of claims.
- Identify, research and resolve failed claims and resubmit for payment.
- Review Insurance vouchers per contracted fee schedules and ensure patient's accounts reflect accurate payments and patient responsibilities.
- Make decisions with clear authority to adjust balances according to strict guidelines.
- Receive calls from patients and resolve their concerns with empathy and confidence.
- Proficient with Meditech, OmniPro, Epaces, Experian and other necessary websites needed for billing.
Retail Store Manager- 1st Assistant
Maurices
East Amherst, NY
02.2022 - 03.2023
- Ensured store met daily, weekly and monthly goals.
- Increased store KPIs
- Managed daily and monthly reports.
- Managed employees.
- Created weekly work schedules, following corporate guidelines and allotted hours.
- Trained new employees.
- Met daily customer service standards.
- Opened and closed store; including balancing of registers and making nightly deposits.
Medical Billing Specialist- Accounts Receivable
Eastern Niagara Hospital
Lockport
04.2016 - 11.2020
- Specialized areas of insurance included Independent Health, Nova, No Fault and Workman's Compensation.
- Prepared medical claims to be submitted electronically or manually using UB04/1500 forms.
- Communicated with insurance companies to check status of claims.
- Identify, research and resolve failed claims and resubmit for payment.
- Adjust account balances with confidence.
- Collected copays and pursued past due balances from patients.
- Liaised between patients, insurance companies, and billing office.
Medical Records Clerk
Eastern Niagara Hospital
Lockport, NY
02.2013 - 04.2016
- Assembled charts.
- Respond to CMS audits requesting medical records for insurance review.
- Produce and complete birth certificates for state reporting.
- Comply to HIPPA compliance regulations.
Senior Phlebotomist
Eastern Niagara Hospital
Lockport, NY
11.2002 - 02.2013
Education
Associate of Science - Business
Niagara County Community College
Sanborn, NY05.1992
High School Diploma -
Lockport High School
Lockport, NY06.1990
Skills
- Accounts Receivable
- Hospital experience
- EMR Systems
- HIPPA
- Medical Terminology
- Medical Records
- Insurance verification
- Data entry
- Analysis skills
- Customer service
- Customer support
Timeline
Patient Financial Services Representative
Erie County Medical Center
09.2022 - Current
Retail Store Manager- 1st Assistant
Maurices
02.2022 - 03.2023
Medical Billing Specialist- Accounts Receivable
Eastern Niagara Hospital
04.2016 - 11.2020
Medical Records Clerk
Eastern Niagara Hospital
02.2013 - 04.2016
Senior Phlebotomist
Eastern Niagara Hospital
11.2002 - 02.2013
Associate of Science - Business
Niagara County Community College
High School Diploma -
Lockport High School